Table 1.

Agreement between Maimonides’ Recommended Dietary Regimen and Contemporary Recommendations.

Dietary Regimen Item Maimonides9* USA10,11* The Netherlands12* WHO15* Mediterranean Diet13,14*

Bread Coarse flour with husk
Limited: matzot and barley bread
Agree Agree Agree Agree

Fresh fruit Avoid all fruit, even if dried and especially fresh, except for figs, grapes, or dates (fresh or dried) in small amounts Disagree Disagree Disagree Disagree

Vegetables Certain types of cucumbers, certain types of zucchini should be eaten first, before the meal, and not together with the main meal
Limited: cabbage, leeks, onions, garlic, mustard and radishes
Forbidden: truffles, mushrooms
Disagree Disagree Disagree Disagree

Legumes Limited: fava beans, lentils, chickpeas Disagree Disagree Disagree Disagree

Meats

 General (lamb/sheep, poultry, beef) Generally good
Avoid fat
Agree Limited agreement: limit amount of red meat Agree Limited agreement: Limit to less than two servings weekly

 Processed meat Extremely harmful: aged/salted/processed meat Limited agreement: consumption should be limited because of high salt content Agree Agree Limited agreement: less than 1 portion weekly

Fish Generally restrict Disagree Disagree Disagree16 Generally agree: two or more servings weekly (small amounts)

 Salted/aged Avoid Agree Agree Agree Agree

Nuts Generally good (especially almonds) Agree Agree Agree Agree

Eggs Good Agree Limited agreement: limit consumption Limited agreement17 Agree

Milk products
 Milk Fresh only (less than 24 hours after milking) Limited agreement: pasteurized only18 Limited agreement: allow both raw milk and pasteurized19 Limited agreement: low-fat recommended Limited agreement: low-fat recommendation, yogurts and cheeses preferred

 Fresh, sweet, or light cheese Good Limited agreement: fat-free or low fat; avoid soft cheeses made from unpasteurized milk in pregnant women Limited agreement (cheese in general permitted) N/C Agree

 Hard cheese Limited N/C Limited agreement (cheese in general permitted) Agree N/C

Fats Fats in general considered bad Partially agree: limit saturated and trans fats Partially agree: eat less animal fat Partially agree: reduce fat intake to less than 10% of total energy intake Partially agree: moderation and special occasions

 Olive oil Good–cleanses the liver and loosens stools Agree Agree Agree Agree

 Butter Limited use (fresh and clarified) Agree Disagree: should be avoided Agree Agree

Honey
 For adults Good Limited agreement N/C Limited agreement N/C

 For children Bad Agree20 N/C Agree21 N/C

Salt Recommendations imply strong limitations on salted food Agree Agree Agree Agree

Alcohol consumption Permitted
Harmful to the young and wholesome for the old
Limited agreement Limited agreement: avoid, or no more than 1 glass daily Limited agreement: not recommended for children and pregnant women; limited use by other adults22,23 Limited agreement: small amount of wine at mealtime
*Unless otherwise indicated within the table, then those references take precedence.
RMMJ Rambam Maimonides Medical Journal Rambam Health Care Campus 2020 October; 11(4): e0029. ISSN: 2076-9172
Published online 2020 October 14. doi: 10.5041/RMMJ.10396